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Individual

EDWARD S COTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1328 TWENTY SECOND STREET, SANTA MONICA, CA 90404-2091
(310) 582-7089
Mailing address
14320 VENTURA BLVD, #414, SHERMAN OAKS, CA 91423-2717
(818) 990-7769
(818) 906-1859

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A80494
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A804940
CA
Enumeration date
04/26/2006
Last updated
07/08/2013
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